Individual provider Active NPI

Robert D Yates III, PH.D

  • Clinical Psychologist
  • Hays, KS
National Provider Identifier
1356690689
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2318 Issued in KS
Practice address
1010 Downing Ave Ste 60
Hays, KS 67601-2461
Phone
(785) 621-4417
Fax
(866) 473-6903
NPI assigned
Aug 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2318 KS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 572 KS

Addresses

Primary practice location

1010 Downing Ave Ste 60
Hays, KS 67601-2461

Mailing address

1010 Downing Ave Ste 60
Hays, KS 67601-2461
Phone (785) 621-4417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
572KSMDMarriage & Family Therapist
2318KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Mental Health Center CurrentSince Nov 23, 2014 Accepting new patients

Locations

208 E 7th St
Hays, KS 67601
Phone (785) 628-2871

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1356690689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 DOWNING AVE STE 60",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012461",
            "telephone_number": "785-621-4417",
            "fax_number": "866-473-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DOWNING AVE STE 60",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012461",
            "telephone_number": "785-621-4417",
            "fax_number": "866-473-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2318",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.